Echinococcosis

Echinococcosis ke tšoaetso e bakoang ke Echinococcus granulosus kapa Echinococcus multilocularis seboko. Tšoaetso e boetse e bitsoa lefu la hydatid.

Batho ba tšoaetsoa ha ba koenya mahe a tapeworm lijong tse silafetseng. Mahe a ntan'o theha li-cysts kahare ho 'mele. Cyst ke mokotla o koetsoeng kapa mokotla. Li-cysts li lula li hola, e leng ho lebisang matšoao.

E granulosus ke tšoaetso e bakoang ke liboko tse fumanoang ke lintja le liphoofolo tse ruuoang joalo ka linku, likolobe, lipoli le likhomo. Li-tapeworms tsena li bolelele ba 2 ho isa ho 7 mm. Tšoaetso e bitsoa cystic echinococcosis (CE). E lebisa ho kholo ea li-cysts haholo matšoafong le sebeteng. Likokoana-hloko li ka boela tsa fumanoa pelong, masapong le bokong.

E mefuta-futa ke ts'oaetso e bakoang ke liboko tse fumanoang ke lintja, likatse, litoeba le liphokojoe. Li-tapeworms tsena li bolelele ba 1 ho isa ho 4 mm. Tšoaetso e bitsoa alveolar echinococcosis (AE). Ke boemo bo sokelang bophelo hobane makhopho a kang hlahala a hlaha sebeteng. Litho tse ling tse kang matšoafo le boko li ka ameha.

Bana kapa batho ba baholo ba kotsing ea ho fumana tšoaetso.

Echinococcosis e tloaelehile ho:

• Afrika
• Asia Bohareng
• Amerika Boroa Boroa
• Leoatle la Mediterranean
• Bochabela bo Hare

Maemong a sa tloaelehang, tšoaetso e bonoa United States. Ho tlalehiloe California, Arizona, New Mexico le Utah.

Mabaka a kotsi a kenyelletsa ho pepesetsoa:

• Likhomo
• Lithaka
• Mantle a lintja, liphokojoe, liphiri kapa liphokojoe
• Likolobe
• Linku
• Likamele

Li-cyst li kanna tsa se hlahise matšoao a lilemo tse 10 kapa ho feta.

Ha lefu lena le ntse le tsoela pele 'me li-cysts li ntse li hola, matšoao a ka kenyelletsa:

• Bohloko karolong e ka holimo le letona la mpa (cyst ea sebete)
• Eketsa boholo ba mpa ka lebaka la ho ruruha (cyst ea sebete)
• Sekhohlela se nang le mali (lung cyst)
• Bohloko ba sefuba (lung cyst)
• Khohlela (cyst lung)
• Matšoao a matla a tšoaetso (anaphylaxis) ha li-cysts li buleha

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao.

Haeba mofani oa thepa a belaella CE kapa AE, liteko tse ka etsoang ho fumana li-cysts li kenyelletsa:

• X-ray, echocardiogram, CT scan, PET scan, kapa ultrasound ho bona li-cysts
• Liteko tsa mali, joalo ka enzyme-linked immunoassay (ELISA), liteko tsa ts'ebetso ea sebete
• Phofo e ntle ea nalane ea nale

Hangata, li-cysts tsa echinococcosis li fumanoa ha tlhahlobo ea litšoantšo e etsoa ka lebaka le leng.

Batho ba bangata ba ka alafshoa ka meriana e thibelang liboko.

Mokhoa o kenyelletsang ho kenya nale ka letlalo ka cyst o kanna oa lekoa. Likahare tsa cyst li tlosoa (aspirated) ka nale. Ebe moriana o romelloa ka nale ho bolaea liboko tsa tapeworm. Kalafo ena ha se ea cysts matšoafong.

Phekolo ke kalafo ea khetho bakeng sa li-cysts tse kholo, tse nang le ts'oaetso, kapa tse fumanehang lithong tse joalo ka pelo le boko.

Haeba li-cysts li arabela meriana ea molomo, phello e kanna ea ba e ntle.

Ikopanye le mofani oa hau haeba u ba le matšoao a lefu lena.

Mehato ea ho thibela CE le AE e kenyelletsa:

• Ho lula hole le liphoofolo tse hlaha ho kenyelletsa liphokojoe, liphiri le liphokojoe
• Ho qoba ho kopana le lintja tse lahlehileng
• Ho hlapa matsoho hantle kamora ho ama lintja tsa lapeng kapa likatse, le pele u tšoara lijo

Hydatidosis; Lefu la Hydatid, lefu la cyst ea Hydatid; Lefu la alveolar cyst; Polycystic echinococcosis

• Sebete echinococcus - CT scan
• Masole a mmele

Litsi tsa Taolo le Thibelo ea Maloetse. Likokoana-hloko - echinococcosis. www.cdc.gov/parasites/echinococcosis/treatment.html. E ntlafalitsoe ka la 12 Tšitoe 2012. E fihlile ka la 5 Pulungoana.

Gottstein B, Beldi G. Echinococcosis. Ka: Cohen J, Powderly WG, Opal SM, li-eds. Maloetse a tšoaetsanoang. La 4 ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 120.